Individual provider · Type 1 NPI

Max Joseph Miller Lundeen, PA-C

Surgical Physician Assistant · Edina, MN

NPI number 1144457581 Active

Practice location

3400 W 66th St, Suite 350
Edina, MN 55435-2111

Fax (952) 832-5597

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10585 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1144457581

Max Joseph Miller Lundeen, PA-C's National Provider Identifier is 1144457581, issued on Jun 12, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edina, MN. The record was last updated on Sep 29, 2015.